HomeMy WebLinkAboutMortgage_Walker'°� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
� FOR DEDUCTION FROM ASSESSED VALUATION
� Siate Fortn a3709 (R77 / 6-09)
'� � Prnsmbed by DepaNneM allaml Govemmem France
�
INSTRUCTIONS:
To 6e filed in person a by mail with [he CountyAuditor or Counry Recorder of the county whe�e Ihe property is located.
Fifing Dates: i) Real Property: Must file dunng fhe year for which the tleduction is soughf.
2) Mobile / Manufactured Homes not assessed as Real Property: Must file dunng the twelve (12) months
6efo�e Maroh 31 of each year the deduction is sought.
See reverse side fnr addilional instruclions arM qualrficatbns.
MP�D� (ownerorcontrdtt Duyer- see rystri�ryoru m ryyer;Qsile)
AsessW�a(dedreal ad
Ma�di 1, aifmt year
If ro, what a his ! her erart stiare ol interest?
Counry Autlitor
iEer/IegaldesaipUOn Recordfwmber PaBenumbu
-�0-.3�-yoo-ooi. y5.3-o a/ �--009 47�1�
MortgaBe / Cantraa'ude6tedfmss unpaid as of Mwigage / Contrad'udebtedness unpaid az o( Is Ne aOP��t Ne sole
MarM t, wnent tlate of appfication legal w eWibde avmeR
� � /j Q (� ❑ Yes ❑ No
If name on remrd is Eitferent ihan Nat o( app0onl, indicate 6elow.
f•T••'1Ti
or oNer owner or hdder ot mortga5e
Adtlress ot asUgnce (numbar aM sbee; tlry, stafi, antl ZIP catle)
Does epplinnt own propeny in anY other I Ii yes.
munrymindiana? � __ � _.
20 20
na dCqwryAUditOr
I/ We ceNry und r the penal
owner l�contracl buyer of Ne
If wmed with someone aher ihan
,aMLPcode) �
COUNTYAUDROR
20 20 20
Counry
sGOn: Mnually Assessed
� NmuaRyAssessed
Mobile Fiome (IC 61.
' V�^i`��......
prawcr \0 .............
Card NO. ... �� y � ......
a�-� �,q95,�
20
�ate imonN.
20
that the above and foregoing infortnation is We and correcl arW fhat the applinnt is a resident of Indiana and
ned property on date apP���tion is filed.
v/ Date (mmfi. daY• i'aa�
tiry, sfate, arM
Gy EWy esecuted Power olAlf�mey or by IC 61.1-12-0.7
Add2ss of a Wwmed person �num0er arM sbeef, tity, stare,
Date (rmnN. dfi: l'�/)